9 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Arlington Heights, IL
5-star overall rating with 4-star inspections with 9 recent health deficiencies with 14 fire-safety deficiencies in the latest cycle
1200 N Arlington Heights Rd, Arlington Heights, IL
(847) 392-9000
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
5 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
73
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2015-12-18
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
RN hours / resident day
1.57
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.79
Licensed practical nurse staffing · state 0.64 · national 0.87
Aide hours / resident day
2.22
Nurse aide staffing · state 2.13 · national 2.35
Total nurse hours
4.59
All reported nurse hours · state 3.49 · national 3.89
Licensed hours
2.36
RN + LPN hours · state 1.36 · national 1.54
Weekend hours
4.23
Weekend nurse staffing · state 3.09 · national 3.43
Weekend RN hours
1.26
Weekend registered nurse coverage · state 0.56 · national 0.47
Physical therapist
0.00
Reported PT staffing
Adjusted RN hours
1.43
CMS adjusted RN staffing hours
Adjusted total hours
4.18
CMS adjusted total nurse staffing hours
Case-mix index
1.50
Higher values indicate more complex resident acuity
RN turnover
21%
Annual RN turnover · state 44% · national 45%
Total nurse turnover
46%
Annual nurse turnover · state 46% · national 46%
SNF VBP
Program rank
9,007
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
25.01
Composite VBP score used to determine payment impact.
Payment multiplier
0.9837
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0
Baseline 22.11% · Performance 22.88% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
2.59
Baseline 8.12% · Performance 7.16% · Measure score 2.59 · Achievement 2.26 · Improvement 2.59
Total nurse turnover
5.32
Baseline 62.67% · Performance 41.94% · Measure score 5.32 · Achievement 5.32 · Improvement 4.98
Adjusted total nurse staffing
2.09
Baseline 4.59 hours · Performance 3.67 hours · Measure score 2.09 · Achievement 2.09 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.11% |
10.72%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 445 · Observed rate 11.46% · Lower 95% interval 9.88% |
| Discharge to community | 62.24% |
50.57%
11.7 pts better
|
Better than the National Rate · Eligible stays 499 · Observed rate 59.32% · Lower 95% interval 56.95% |
| Medicare spending per beneficiary | 1.05 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.52% |
95.27%
4.2 pts better
|
Numerator 412 · Denominator 414 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 414 |
| Discharge self-care score | 41.07% |
53.69%
12.6 pts worse
|
Numerator 138 · Denominator 336 |
| Discharge mobility score | 60.42% |
50.94%
9.5 pts better
|
Numerator 203 · Denominator 336 |
| Pressure ulcers or injuries, new or worsened | 1.45% |
2.29%
0.8 pts better
|
Numerator 6 · Denominator 414 · Adjusted rate 1.85% |
| Healthcare-associated infections requiring hospitalization | 7.16% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 374 · Observed rate 6.42% · Lower 95% interval 5.31% |
| Staff COVID-19 vaccination coverage | 6.42% |
8.2%
1.8 pts worse
|
Numerator 7 · Denominator 109 |
| Staff flu vaccination coverage | 69.39% |
42%
27.4 pts better
|
Numerator 102 · Denominator 147 |
| Discharge function score | 52.98% |
56.45%
3.5 pts worse
|
Numerator 178 · Denominator 336 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 80 · Denominator 80 |
| Transfer of health information to patient | 99.69% |
96.28%
3.4 pts better
|
Numerator 319 · Denominator 320 |
| Resident COVID-19 vaccinations up to date | 40.76% |
25.2%
15.6 pts better
|
Numerator 86 · Denominator 211 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 64.7% |
89.6%
24.9 pts worse
|
93.4%
28.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 68.0% · Q3 68.2% · 4Q avg 64.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.6% |
91.6%
1 pts better
|
95.5%
2.9 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.2% |
3.3%
2.1 pts better
|
3.3%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 13.2% |
50.3%
37.1 pts better
|
11.4%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 14.3% · Q3 14.3% · 4Q avg 13.2% |
| Percentage of long-stay residents who lose too much weight | 6.6% |
6.5%
0.1 pts worse
|
5.4%
1.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 4.5% · Q3 5.0% · 4Q avg 6.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.8% |
18.5%
5.7 pts better
|
19.6%
6.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 9.1% · Q3 9.5% · 4Q avg 12.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 27.3% |
22.8%
4.5 pts worse
|
16.7%
10.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 27.3% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 16.8% |
17.2%
0.4 pts better
|
16.3%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 16.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 21.6% |
15.0%
6.6 pts worse
|
14.9%
6.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 15.0% · Q3 15.0% · 4Q avg 21.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 5.9% |
1.1%
4.8 pts worse
|
1.0%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 3.7% · 4Q avg 5.9% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
1.7%
1.7 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q3 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 22.5% |
21.3%
1.2 pts worse
|
19.8%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 23.2% · 4Q avg 22.5% |
| Percentage of long-stay residents with pressure ulcers | 13.6% |
5.2%
8.4 pts worse
|
5.1%
8.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q2 12.8% · Q3 11.3% · 4Q avg 13.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 81.8% |
68.8%
13 pts better
|
81.7%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 76.1% · Q2 80.0% · Q3 83.4% · Q4 86.3% · 4Q avg 81.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 7.0% |
14.0%
7 pts better
|
12.0%
5 pts better
|
Short Stay · 20240701-20250630 · Adjusted 7.0% · Observed 6.2% · Expected 9.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.5% |
2.3%
0.8 pts better
|
1.6%
0.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 1.0% · Q3 1.8% · Q4 1.8% · 4Q avg 1.5% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 81.4% |
63.0%
18.4 pts better
|
79.7%
1.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 81.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.3% |
26.2%
1.9 pts better
|
23.9%
0.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.3% · Observed 21.0% · Expected 20.6% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (5 deficiencies)
14 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Top issue: Quality of Life and Care (5 deficiencies)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Nutrition and Dietary (2 deficiencies)
12 fire-safety deficiencies
Top issue: Smoke (5 deficiencies)
Fire safety
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2025-07-04
Fire Safety
Conduct testing and exercise requirements.
Corrected 2025-07-24
Fire Safety
Implement emergency and standby power systems.
Corrected 2025-07-04
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2025-09-01
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-07-17
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-07-05
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-09-01
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-07-05
Fire Safety
Have proper power supply for life support equipment.
Corrected 2025-09-01
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-07-05
Fire Safety
Install proper backup exit lighting.
Corrected 2025-08-12
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2025-07-04
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-08-18
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-07-05
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-05-31
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-05-31
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2023-08-17
Fire Safety
Provide family notifications of emergency plan.
Corrected 2023-08-17
Fire Safety
Establish emergency prep training and testing.
Corrected 2023-08-17
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-09-06
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-08-17
Fire Safety
Have an enclosure around a vertical opening shaft.
Corrected 2023-08-17
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-08-17
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-08-17
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-08-17
Fire Safety
Install properly constructed windows in hallway walls or doors.
Corrected 2023-08-17
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-08-17
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-08-17
Inspection history
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-06-28
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-06-28
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-06-28
Health
Provide and implement an infection prevention and control program.
Corrected 2025-06-28
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-06-28
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-06-28
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-06-28
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-06-28
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-03-11
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-09-27
Health
Provide and implement an infection prevention and control program.
Corrected 2024-05-25
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-05-25
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-05-25
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-05-25
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-05-25
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2024-05-25
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-01-29
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-08-02
Health
Provide and implement an infection prevention and control program.
Corrected 2023-08-02
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-08-02
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-08-02
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-08-02
Penalties and ownership
Payment Denial · denial start 2025-07-05 · 58 days
58 day denial
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
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